Cervical Disc Replacement: Trends, Costs, and Complications
- Author:
Nickul Saral JAIN
1
;
Ailene NGUYEN
;
Blake FORMANEK
;
Ram ALLURI
;
Zorica BUSER
;
Ray HAH
;
Jeffrey Chun WANG
Author Information
- Publication Type:Clinical Study
- From:Asian Spine Journal 2020;14(5):647-654
- CountryRepublic of Korea
- Language:English
-
Abstract:
Methods:Patients who underwent single or multilevel CDR between 2007 and 2015 were identified using an insurance database. We collected data on annual trends, reimbursement costs, patient demographic information, hospital information, and information on complications from the time of operation to 1 year postoperative.
Results:Total of 293 patients underwent either single or multilevel CDR. The number of procedures increased nonlinearly over time at an average of 17% per year, with a greater increase seen in the outpatient setting. Less than 3.7% of patients had new onset pain within 1 year after CDR. Within 1 year, 12.3% of patients reported a mechanical and/or bone-related complication. There were no patients who indicated a new nerve injury within 6 months of follow-up. Less than 3.7% of patients presented with dysphagia or dysphonia within 6 months, infection within 3 months, or a revision or reoperation within 1 year. Average reimbursement for single-level inpatient versus outpatient CDR was US $33,696.28 and US $34,675.12, respectively (p =0.29).
Conclusions:This study demonstrated that the use of CDR continued to increase. The most common complication was mechanical and/or bone-related, and cost analysis demonstrated no significant difference between inpatient and outpatient CDR.
